Prostatitis, Chronic

Prostatitis, Chronic: (mcc: E. coli like UTI in women)

  • “Terminal dysuria:” most painful at completion of urination
  • Order the following labs: UA with culture, Gonorrhea and Chlamydia screen.
    1. If all tests are negative: Start treatment: Levaquin 500mg PO qd for 4 weeks.
    2. If still symptomatic at F/U:
      1. Start: Doxycycline Hyclate 100 MG PO bid [given 2 weeks supply]
      2. Start: Naproxen 500 MG PO bid
      3. Start: Tamsulosin HCl – 0.4 MG PO qd.

This is a deep-seated infection requiring longer term treatment. May need to add coverage for additional venereal etiology if no improvement is noted at FU.

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